Committee on Undergraduate Petitions
Petition for Late Withdrawal
A late withdrawal may be granted to students who have missed the final date for withdrawal from courses but, for
reasons judged to be compelling, have been unable to complete their coursework. Once a student is registered in a
course, a grade will be assigned for that course unless the student withdraws from the course before the deadline for
withdrawal. The deadlines for adding and dropping courses are listed in the University Diary/Important Dates in the Academic
Calendar. Students may petition for late withdrawal on the grounds of compelling and documentable reasons for having been
unable to withdraw from the course by its drop deadline. A request for late withdrawal may be made after the published final
date for withdrawal but normally before the end of the academic session.
A COMPLETE PETITION PACKAGE MUST INCLUDE:



Pages 1, 2 and 3 of this form
A Statement of Grounds letter providing a clear account of why the course was not dropped by the deadline (a
formal letter addressed to the Committee on Undergraduate Petitions, written by the petitioning student)
Supporting documentation of medical or personal circumstances (as applicable)
Please review these requirements with your Academic Advisor who will then submit your petition to the Office of the Registrar.
Name:
From which course(s) do you propose to withdraw?
Student No:
If you are receiving financial assistance through either the Canada or Ontario student loan program, or a National
Renewable or Prestigious Scholarship, please ensure you are familiar with the regulations surrounding minimum course
loads or renewals for eligibility to receive financial assistance through these programs.
Course Code
Section/Location (e.g Y01/PTBO)
Term (e.g. Fall 2014)
I verify that the information contained in this petition package is complete and valid, and that I have considered all relevant
aspects of dropping courses after the deadline. I also acknowledge that ‘submitting false or misrepresentative medical
certificates or other documentation in support of requests for concessions on academic work or deadlines’ is considered to
be Cheating under the University’s policy on Academic Integrity, and that offences will be dealt with by following procedures
set out in the University’s Academic Integrity Policy. I further acknowledge that a successful academic petition does not
absolve me of my financial obligations to the University.
Student signature:
Date:
Advisor Verification
I verify that the information contained in this petition package reflects my discussions with the student regarding his/her
petition.
Comments:
Advisor signature:
For Office Use Only
Granted
Date: _____________________________
Date:
Denied
Deferred
Chair Signature: _______________________________
Comments:
The information on this form is collected under the authority of the Trent University Act, 1963 and is needed to document
your petition request. The information will be used to officially record your petition request and to update your academic
record if your petition is granted. If you have any questions about the collection, use or disclosure of this information by the
University, please contact the University Registrar, Office of the Registrar, Blackburn Hall, 705-748-1215,
registrar@trentu.ca.
Committee on Undergraduate Petitions
Petition for Late Withdrawal
Name:
Student No.:
STATEMENT OF GROUNDS LETTER
The Statement of Grounds letter, as outlined above, is a formal account of why you are pursuing this petition. It will follow page
3 of your petition package. When writing your letter, please be clear and provide as many specific details as you can, while
considering the following questions:



Why did you not drop the course by the required deadline? (note: if the course was taken in an academic session
that is finished, explain why you did not submit this petition prior to the end of the session)
Are you withdrawing from all courses in the term/academic year? If not, please explain.
What alternatives are you considering in the event that your petition is not approved? How would this outcome
cause you undue hardship?
ADDITIONAL QUESTIONS

When did you first contact your Academic Advisor about this petition?

Do you intend to continue your studies during the next academic session?

What information did you receive about your academic standing in the course prior to the drop deadline? Please
indicate the type of work returned: essays, papers, reports, lab reports, mid-terms, etc. and the value of and your
grade in each.
Committee on Undergraduate Petitions
Petition
for Late Withdrawal
Course
Performance
Summary
Students: It is your responsibility to have this form completed by the course instructor for each course for which special
consideration is being requested. In special circumstances, the Chair of the Department or Program may complete the form on
behalf of the course instructor. YOUR PETITION WILL NOT BE CONSIDERED WITHOUT THIS COMPLETED FORM.
Name:
Course code / session:
Student No.:
Instructor:
Instructions for Faculty:
This form is required for all late withdrawal petitions. It is one of several factors that CUP considers to determine whether a late
withdrawal will be granted. Please be aware that students are permitted to see all materials pertaining to their petition, whether
included on this form or sent separately. While students are encouraged to discuss their circumstances with their course
instructors, students have the right to confidentiality and are not obliged to discuss the grounds of a petition with course
instructors.
You may return this form to the student or directly to the academic advisor involved. If you are returning the form via email
(preferred) to an advisor you may type your name in lieu of a signature. Hard copies should be addressed to the advisor and
sent through internal mail.
Did the student attend classes regularly?
UNSURE
YES
NO
Did you grant any extensions or re-weight any assignments? If so, please outline any accommodations you made in the
comments section below, including accommodations extended to the entire class.
Comments:
Course Information: Please complete the table below, providing as much information, including relevant dates, as possible.
This information is essential for the Committee to confirm the time and/or sequence of events described in the petition.
NURSING PROGRAM NOTE: If this form is being completed for a Nursing practice course, an additional note must be
attached to the petition listing the location and all dates the student was in practice.
Type of graded
assignment or
work
Grade earned on
assignment or
work
% weighting of
Date
Date grade
Was work
assignment
assignment(s)
available to
received?
toward final
due
student
course grade
For example, if a student received 7/10 on a component, and it was worth 20% of the overall grade, mark 70% in column 2
and 20% in column 3
Total grade earned by this student:
/100
Did the student receive 25% of the final grade by the deadline to withdraw?
Course Instructor’s Signature:
________________________
Date:
YES
NO
__________________________________
The information on this form is collected under the authority of the Trent University Act, 1963 and is needed to collect
information about your performance in the specified course for the purpose of evaluating your petition. The information will be
considered in the decision to grant, deny or defer your petition. If you have any questions about the collection, use or
disclosure of this information by the University, please contact the University Registrar, Office of the Registrar, Blackburn Hall,
705-748-1215, registrar@trentu.ca.